Therapist Make-Up Plan

Therapist Name
Please list ALL sessions being cancelled, followed by a detailed make-up plan. Indicate “N/A” in “Make-Up Time/Day” section time if you do not intend to M/U. (Sessions marked N/A or left blank will automatically be offered to other therapists)
MM slash DD slash YYYY
Confirmed
Confirmed
Confirmed
Confirmed
Confirmed
Confirmed
Confirmed
Confirmed
This field is for validation purposes and should be left unchanged.

Please submit this Make-Up Plan to Scheduling as soon as possible.

NOTE:
Except for in emergency situations, You (the therapist) are responsible for communicating with your clients about absences in addition to scheduling and confirming make-up sessions prior to submitting this plan to Scheduling.